Individual
KRISTI DOUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9723 NORTHEAST PKWY STE 100, MATTHEWS, NC 28105-9719
(980) 262-3007
(980) 262-3528
Mailing address
9723 NORTHEAST PKWY STE 100, MATTHEWS, NC 28105-9719
(980) 262-3007
(980) 262-3528
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5008420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275993149
—
NC
Enumeration date
03/04/2016
Last updated
06/22/2023
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